39D2228253 CLIA NUMBER - WALGREENS #12597

Laboratory Demographics

  • CLIA Code: 39D2228253
  • Facility Name: WALGREENS #12597
  • Facility Address: 100 E MCMURRAY RD
    MCMURRAY, PA
    ZIP 15317
  • Facility Phone: 724 949-1583
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINAMARIE MALLESKE
  • NPI Number: 1275205197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2228253
LAB Type Pharmacy
Facility Name WALGREENS #12597
Street 100 E MCMURRAY RD
City MCMURRAY
State PA
ZIP 15317
Phone 724 949-1583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director GINAMARIE MALLESKE

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This page was last updated on: 9/29/2025